of a partial Obstruction of the Circulation. 487 



heat of the surface which went off towards evening. He had 

 no return ; and has applied to-day (13th August), at the hos- 

 pital, on account of another complaint. 



Case II. — The following is a case of ague in an officer in 

 the H. E. I. Co 5 s. army. At the latter end of July he was 

 attacked with fever, probably from sleeping in a low, damp 

 bungalow, from exposure to the weather, and irregularities 

 in living. "I suffered, 55 says the patient in his account of 

 the disease now before me, " for three successive days from 

 attacks of fever and ague, the fits commencing regularly at 

 11 o 5 clock a. m., on the two first days the cold fit was very 

 slight, but fever, accompanied by severe pains in all my bones 

 and joints, remained till evening. On the third day I ex- 

 perienced a severe attack of ague at the usual hour, and 

 immediately sent to the Native Doctor to come over with 

 the tourniquet, as recommended by you. He came in ten 

 minutes, while I was shivering violently, and applied a tour- 

 niquet round the left thigh, and one round the right arm. 

 They were kept on for seven minutes. The shivering ceased 

 immediately, and was succeeded by a mild fever, without any 

 pains in the limbs, which accompanied all my former attacks. 

 This occurred upwards of a month ago, and since then I have 

 not had the slightest recurrence of the complaint, although 

 for a long time previous I had been subject to constant 

 attacks/ 5 He continued to reside in the same house during 

 a most unhealthy season with impunity. 



Case III. — A respectable Mussulman, aged 40, residing 

 in a country-house which was low, damp, and surrounded by 

 jungle and tanks, was attacked with a quotidian fever, which 

 increased in severity, and on the eleventh day it was so 

 severe as to endanger his life. The intermission was still 

 marked. I administered a purgative and saline mixture on 



